The Oil, Gas, and Minerals Division (OGMD) has published new forms (and revised old forms) for operator use to comply with oil and gas permitting and drilling and completion reporting requirements. These forms may be submitted electronically - in digital format - to the special email addresses (preferred) or as paper copies by way of regular mail. Please refer to the listing below as a guide for records submittal.
Download all Oil and Gas Forms in zipped file (approximately 1,545 Kb).
Forms on this page are in Microsoft Word format.
(Adobe format forms available upon request)
Items on this page:
Forms used for Permits and Bonding (PBU)
Forms used for Drilling and Completion (PMGU)
Forms used for Production and Operating (PMGU and MPSC)
Forms Used by District Office (District and Area Geologists Map)
Forms Used for Permits and Bonding
Permit Applications may be submitted by mail to:
Michigan Department of Environment, Great Lakes, and Energy
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756
or by email to: EGLE-OGMDpermitapplications@Michigan.gov
Contact: 517-284-6826
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FORM NAME |
FORM NUMBER |
ORIGINATOR |
WHEN TO FILE |
WHERE TO FILE |
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*Application for Permit to Drill, Deepen, and Operate a Well Forms marked w/ * are attached as part of a complete application to drill |
Permit Instructions: |
Permit Applicant |
Application |
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* Survey Record of Well Location |
Permit Applicant |
w/Application for Permit to Drill |
EGLE-OGMDPermitApplications@Michigan.gov | |
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* Wellhead Blowout Control System |
Permit Applicant |
w/Application for Permit to Drill |
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* Injection Well Data & attachments |
Permit Applicant |
w/Application for Permit to Drill |
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* Soil Erosion & Sedimentation Control Plan |
Permit Applicant |
w/Application for Permit to Drill |
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* Environmental Impact Assessment |
Permit Applicant |
w/Application for Permit to Drill |
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* Antrim Project Environmental Impact Assessment |
Permit Applicant |
w/Application for Permit to Drill |
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* Surface Owner Notification |
No form. File as required by {R324.201(2)(d)} |
Permit Applicant |
w/Application for Permit to Drill |
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Bond for Conformance (use one of the forms below) |
Permit Applicant |
For a single well bond: Submit with application for Permit to Drill or Request for Transfer. For a blanket bond: If documents are already on file w/ OGMD no need to be copied for new application for Permit to Drill or Request for Transfer. |
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1. Surety Bond |
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2. Certificate of Deposit |
CD |
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3. Letter of Credit |
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4. Cashier's Check |
check |
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5. Statement of Financial Responsibility |
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Acceptance of CD as Conformance Bond |
Permit Applicant |
w/CD bond |
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Well Permittee Organization Report |
Permit Applicant |
As requested by PBU usually w/App or Request for Transfer |
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Request for Transfer of Permit |
Permittee |
At change of owner or operator |
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Authorization for Expenditure |
Petitioner in pooling hearing |
With petition as petition exhibit |
with Petition |
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Application for Rule 303 Spacing Exception |
Permit Applicant |
When applying for an expanded voluntary pooled drilling unit |
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Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems |
Drilling Contractor |
Annually or when BOP is modified |
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High Volume Hydraulic Fracturing Operations Environmental Impact Assessment |
Applicant |
Prior to high volume hydraulic fracturing |
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High Volume Hydraulic Fracturing Operations Chemical Additives Pre-Disclosure Form |
Applicant |
Permitting and Change of Well Status |
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Forms Used for Drilling and Completion
Drilling and completion records may be submitted by mail to:
Michigan Department of Environment, Great Lakes, and Energy
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756
Drilling and completion records also may be submitted by email to:
EGLE-GeologicalRecords@Michigan.gov
Contact: Kelley Nelson 517-284-6835
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FORM NAME |
FORM NUMBER |
ORIGINATOR |
WHEN TO FILE |
WHERE TO FILE |
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Record of Well Drilling or Deepening |
Permittee |
Within 60 days of drilling completion |
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Well Elevations |
No form. File as required by {R324.418(a)(i)} |
Permittee |
Within 60 days of drilling completion |
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Electric or Radiation Logs** |
No form. File as required by {R324.419(1)} |
Permittee |
30 days after running log(s) |
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Survey of Directionally Drilled Well |
No form. File as required by {R324.421} |
Permittee |
30 days after drilling completion Note: a well may not be produced until survey is filed |
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Water Well Record for Oil, Gas, or Mineral Well Operations |
Permittee |
30 days after water well completion |
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Certification of Casing and Sealing of Surface Hole |
Permittee |
30 days after drilling completion |
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Mud Pit Plot |
Permittee |
60 days after drilling completion |
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Record of Well Completion |
Permittee |
Within 60 days of well completion |
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Core descriptions |
No form. File record as required by {R324.418(c)} |
Permittee |
Within 60 days of plugging the well |
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Water Well Plugging Record for Oil & Gas Operations |
Permittee |
30 days after water well plugging |
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High Volume Hydraulic Fracturing Operations Water Withdrawal and Usage Report |
Permittee |
60 days after high volume hydraulic fracturing completion |
**Due to their file size, electric or radiation logs cannot be submitted by email. These should continue to be submitted to the PMGU Lansing office as both paper and electronic format within 30 days after conducting the logging run. Log ASCII Standard (LAS) and Tag Image File (TIF) shall be submitted by CD or other portable storage device (jump drive). The files should be names using the well's permit number, well name, and log type.
Forms Used for Production and Operating
Production and operating records should be submitted by mail to:
Michigan Department of Environment, Great Lakes, and Energy
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756
Please review the forms for final submittal instructions, select production and operating records may be submitted by email to: EGLE-GeologicalRecords@Michigan.gov
Contact: Kelley Nelson 517-284-6835
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FORM NAME |
FORM NUMBER |
ORIGINATOR |
WHEN TO FILE |
WHERE TO FILE |
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Monthly Production Report |
Producer |
Within 45 days after end of month of production |
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Annual Production Report |
Producer |
By February 14 after the end of the year |
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Oil Gatherers Monthly Report |
EQP 7102 or approved equivalent |
Oil Purchaser/Transporter |
Within 45 days after end of month of purchase or transport |
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Monthly Production Report (Trenton Black River) |
Producer |
Within 45 days after end of month of production |
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Bottom Hole Pressure Test |
Producer |
After completion and as requested |
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Central Production Facilities Meter Readings Form A |
Producer |
Within 45 days after end of month of production |
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Centralized Production Facilities Monthly Report Form B |
Producer |
Within 45 days after end of month of production |
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Initial Production Report |
Producer |
After completion |
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Gas Gatherers Monthly Report |
Gas Purchaser/ Transporter |
Within 45 days after end of month of production |
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Annual Secondary & Enhanced Recovery Project Report |
Producer |
Annually by March 1 of following year |
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Liquid and Gas Analysis |
No form. File as required by {R324.1118(4)} |
Producer |
After completion & as requested |
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Annular Pressure Test |
Operator |
Before initial injection & at least once each 5 year per R324.803 & 805 |
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Injection Well Operating Report |
Operator |
Monthly or Annually |
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Gas Storage Operations Annual Well Fee Assessment Report |
Storage Operator |
Annually by January 31 |
Forms Used In The Field
Submit to the OGMD Area Geologist and appropriate District Office email for approval. Cadillac: EGLE-OGMD-Records-Cadillac@michigan.gov, Gaylord: EGLE-OGMD-Records-Gaylord@michigan.gov, Kalamazoo: EGLE-OGMD-Records-Kalamazoo@michigan.gov, Lansing: EGLE-OGMD-Records-Lansing@michigan.gov, Saginaw Bay: EGLE-OGMD-Records-SaginawBay@michigan.gov, SE Michigan: EGLE-OGMD-Records-SEMichigan@michigan.gov, (For the Upper Peninsula, use: EGLE-GeologicalRecords@michigan.gov)
District and Area Geologists Map
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FORM NAME |
FORM NUMBER |
ORIGINATOR |
WHEN TO FILE |
HOW TO FILE |
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Report of Loss or Spill |
Permittee |
w/in 10 calendar days. (Losses over 42 gallons report verbally w/in 8 hours) |
Email Area Geologist & District Inbox |
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Record of Well Plugging or Change of Well Status |
EQP 7200-8 | Permittee | 60 days after Change/ Plugging | Email Area Geologist & District Inbox | |
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Gas-Oil Ratio Test |
Producer |
As requested by PMGU or District. Report due w/in 15 days of test |
Email Area Geologist & District Inbox | ||
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Assumption of Responsibility by Landowner |
Permittee |
Prior to Bond Release |
Email Area Geologist & District Inbox | ||
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Application to Change Well Status and/or Plug and Abandon |
Permittee |
When requested by permittee or OGMD |
Email Area Geologist & District Inbox | ||
| Surface Facility Location and Environmental Impact Assessment | EQP 7200-22 | Operator | When applying for a surface facility | Email Area Geologist & District Inbox | |
| Owner Consent for Surface Facility with H2S Wells | EQP 7241 | Operator | When applying for a surface facility | Email Area Geologist & District Inbox |
